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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Untitled Document</title>
</head>

<body>
<div style="text-align:center">
<form action="check_register.php" method="post" name="form1" id="form1"> 
<table border="1" align="center" bgcolor="#FFC">
	<tr>
    	<td colspan="2" style="text-align:center"><h3>Đăng Ký Thành Viên</h3></td>
    </tr>
	<tr>
    	<td>Họ tên</td>
        <td><input name="ten" type="text"  /></td>
    </tr>
    <tr>
    	<td>Username</td>
        <td><input name="username" type="text" /></td>
    </tr>
    <tr>
    	<td>Password</td>
        <td><input name="pass" type="password" /></td>
    </tr>
    <tr>
    	<td>Re-type Password</td>
        <td><input name="pass2" type="password" /></td>
    </tr>
    <tr>
    	<td>Đỉa chỉ</td>
        <td><input name="diachi" type="text" /></td>
    </tr>
    <tr>
    	<td>Điện thoại</td>
        <td><input name="dt" type="text" /></td>
    </tr>
    <tr>
    	<td>Email</td>
        <td><input name="email" type="text" /></td>
    </tr>
    <tr>
    	<td></td>
        <td></td>
     </tr>
      <tr>
    	<td></td>
        <td></td>
     </tr>
      <tr>
    	<td colspan="2" style="text-align:center"><input name="btn" type="submit" value="Đăng ký" /></td>
        
     </tr>
        
</table>
</form>
</div>
</body>
</html>